Re: Oral glucose testing recommended for coronary artery disease patients
Andrew B. Chung, MD/PhD
>
> http://www.medscape.com/viewarticle/550034_print
>
> Oral Glucose Tolerance Test Recommended for All With Coronary Artery Disease
>
> Reuters Health Information 2006. © 2006 Reuters Ltd.
> Republication or redistribution of Reuters content, including by framing
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> consent of Reuters. Reuters shall not be liable for any errors or delays
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> and the Reuters sphere logo are registered trademarks and trademarks of
> the Reuters group of companies around the world.
>
> By Martha Kerr
>
> NEW YORK (Reuters Health) Dec 28 - Patients with coronary heart disease
> should have an oral glucose tolerance test instead of fasting plasma
> glucose testing, in order to accurately identify and classify impaired
> glucose regulation in this population, investigators with the Euro Heart
> Survey on Diabetes and the Heart recommend in the January issue of Heart.
>
> "In principle, every patient with coronary artery disease should have
> (an oral glucose tolerance test)," Dr. Lars Ryden of Karolinska
> University Hospital in Stockholm, told Reuters Health.
>
> Dr. Ryden and colleagues evaluated a variety of tests to assess glucose
> metabolism in 4,961 patients with acute and stable coronary artery disease.
>
> Of the total, 1,867 patients underwent fasting plasma glucose testing
> with a second assessment of glycemia two hours after ingestion of 75 g
> glucose in 200 ml water.
>
> The investigators classified glucose metabolism as normal, impaired
> fasting glucose or impaired glucose tolerance, using criteria
> established by both the World Health Organization (WHO) and the American
> Diabetes Association (ADA).
>
> Using WHO criteria, the investigators found that 47% of patients had
> normal glucose regulation, 5% had impaired fasting glucose, 32% had
> impaired glucose tolerance and 17% had diabetes.
>
> The findings show that the ADA classification system -- which is based
> on fasting plasma glucose measurement -- is "wrong," Dr. Ryden said. The
> 2004 ADA criteria would have underdiagnosed 32% of patients and
> overdiagnosed 8%, for a total misclassification rate of 41%.
>
> Oral glucose tolerance testing was not performed in 1,495 eligible
> patients, the investigators report. The researchers cited ethical and
> practical reasons for not performing the test.
>
> Women and older patients were less likely to receive oral glucose
> tolerance testing, as well as those with a higher waist circumference.
> These patients are more likely to have abnormal glucose regulation than
> those who underwent testing.
>
> "Oral glucose tolerance testing is the best method for assessing glucose
> regulation in patients with coronary artery disease," Dr. Ryden said.
> "It is absolutely safe and without complications," he noted.
Such testing would simply identify those who have metabolic syndrome
(MetS) which can already be diagnosed by testing that has likely
already been done.
The only known cure for this is to permanently lose the visceral
adipose tissue (VAT).
The only known proven method of achieving this with a million dollar
guarantee is the 2PD-OMER Approach:
http://HeartMDPhD.com/wtloss.asp
Folks here on usenet have witnessed firsthand how it would be applied:
http://HeartMDPhD.com/HolySpirit/overweight.asp
Details about the guarantee will be given at the following free
Foundation event:
May GOD continue to heal our hearts with HIS living water curing our
diabetes, depression, anxiety or panic so that we can love our
neighbors a little more and LORD Jesus Christ a lot more dear neighbor
Susan whom I love unconditionally.
Prayerfully in Christ's amazing love,
Andrew <><
--
Andrew B. Chung
Cardiologist, Atlanta, Georgia, USA
http://HeartMDPhD.com/HolySpirit
As for knowing who are the very elect, these you will know by the
unconditional love they have for everyone including their enemies
(Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17).
http://HeartMDPhD.com/Love
Meanwhile, HIS brethren have been blessed:
http://MabletonGA.OurLittle.net/DreadNought
... and continue to be blessed:
http://MabletonGA.OurLittle.net/Guarantee
(note: Only those who are blessed by GOD will have access to these and
other related OurLittle.net articles per a secure IP database
maintained by TheWellnessFoundation.com)
Jim Chinnis
>"Patients with coronary heart disease
>should have an oral glucose tolerance test instead of fasting plasma
>glucose testing, in order to accurately identify and classify impaired
>glucose regulation in this population, investigators with the Euro Heart
>Survey on Diabetes and the Heart recommend in the January issue of Heart."
Interesting. Where does hb1ac fit in?
--
Jim Chinnis Warrenton, Virginia, USA
Andrew B. Chung, MD/PhD
> Jim Chinnis wrote:
>
> > Interesting. Where does hb1ac fit in?
>
Those who use the 2PD-OMER Approach to lose all their visceral adipose
tissue (VAT) typically end up with a HgbA1C of less than 4.7% based on
the more than 5 year experience of more that 625,550 people who have
used this approach:
http://HeartMDPhD.com/wtloss.asp
... and as we will witness in Jolanna if she choose wisely to continue
to eat less down to the optimal amount per day:
http://HeartMDPhD.com/HolySpirit/overweight.asp
Where to hear the details about the million dollar guarantee that now
comes with the 2PD-OMER Approach:
May GOD continue to heal our hearts with HIS living water curing our
diabetes, depression, anxiety or panic so that we can love our
neighbors a little more and LORD Jesus Christ a lot more, dear neighbor
Susan whom I love unconditionally.
Prayerfully in Christ's amazing love,
Andrew <><
--
Andrew B. Chung
Cardiologist, Atlanta, Georgia, USA
http://HeartMDPhD.com/HolySpirit
As for knowing who are the very elect, these you will know by the
unconditional love they have for everyone including their enemies
(Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17).
http://HeartMDPhD.com/Love
Meanwhile, HIS brethren have been blessed:
http://MabletonGA.OurLittle.net/DreadNought
... and continue to be blessed:
http://MabletonGA.OurLittle.net/Guarantee
(note: Only those who are blessed by LORD GOD Almighty, Creator of
heaven and earth, will have access to these and other related
Art Deco
>The only known proven method of achieving this with a million dollar
>guarantee is the 2PD-OMER Approach:
>
>http://HeartMDPhD.com/wtloss.asp
Spammer.
>Folks here on usenet have witnessed firsthand how it would be applied:
>
>http://HeartMDPhD.com/HolySpirit/overweight.asp
>
>Details about the guarantee will be given at the following free
>Foundation event:
There is no "guarantee".
Art Deco
>Neighbor Susan wrote:
>> Jim Chinnis wrote:
>>
>> > Interesting. Where does hb1ac fit in?
>>
>> Anything over 4.8-5% represents a rise in CVD mortality risk.
>
>Those who use the 2PD-OMER Approach to lose all their visceral adipose
>tissue (VAT) typically end up with a HgbA1C of less than 4.7% based on
>the more than 5 year experience of more that 625,550 people who have
>used this approach:
>
>http://HeartMDPhD.com/wtloss.asp
>
>... and as we will witness in Jolanna if she choose wisely to continue
>to eat less down to the optimal amount per day:
>
>http://HeartMDPhD.com/HolySpirit/overweight.asp
>
>Where to hear the details about the million dollar guarantee that now
>comes with the 2PD-OMER Approach:
Still spamming your kooklinks.
Jim Chinnis
>Jim Chinnis wrote:
>
>>
>> Interesting. Where does hb1ac fit in?
>> --
>
>
>Anything over 4.8-5% represents a rise in CVD mortality risk.
But how does it compare with an oral glucose test?
Andrew B. Chung, MD/PhD
> Susan <neve...@nomail.com> wrote in part:
> >Jim Chinnis wrote:
> >
> >> Interesting. Where does hb1ac fit in?
> >
>
> But how does it compare with an oral glucose test?
More convenient.
However, both are unnecessary for diagnosing metabolic syndrome (MetS)
which is the underlying problem in many with coronary artery disease.
May GOD continue to heal our hearts with HIS living water curing our
diabetes, depression, anxiety or panic so that we can love our
neighbors a little more and LORD Jesus Christ a lot more dear neighbor
Jim whom I love unconditionally.
Jaguar
Quit fucking spamming this group you quacko. No body gives two shits of
what you have to say.
Whoever said god doesnt make mistakes was WRONG. He made a mistake with
you, jackass.
Jim Chinnis
>x-no-archive: yes
>
>Jim Chinnis wrote:
>
>> But how does it compare with an oral glucose test?
>> --
>> Jim Chinnis Warrenton, Virginia, USA
>
>http://www.phlaunt.com/diabetes/
>
>You may find your answer on this site:
>
>http://www.phlaunt.com/diabetes/
>
>Look at the section from normal to type 2. Also look for the Rancho
>Bernardo study, in which the 2 hr. post prandial testing (which any of
>us can do cheaply and easily at home) found DM in 70% of older female
>DMs that fbg missed. At one hour, I bet fbg would've missed 100%.
Interesting, but doesn't really address my question. I have an hbA1c of
4.5%. With that alone, what is the chance a 2hr postprandial glucose
tolerance test will provide anything useful?
Jim Chinnis
>Unless you're anemic or have some other reason for low rbcs, not much,
>probably.
>
>That's a perfectly normal and enviable A1c for a completely non diabetic
>person. Anemia or rapid rbc turnover can cause an atypical low A1c even
>in a person with high bg, but that's not likely your case. While a low
>A1c does mean you're not likely having excursions into high bg ranges,
>it doesn't protect against the CVD and other disease conditions caused
>by hyperinsulinemia, if present.
Thank you for the info.
Health Solutions
I read some articles at
http://www.medical-health-care-information.com related to health
and fitness. I hope it is some helpful for all.
Regards
Monica
Andrew B. Chung, MD/PhD
> >
> >> But how does it compare with an oral glucose test?
> >> --
> >> Jim Chinnis Warrenton, Virginia, USA
> >
> >http://www.phlaunt.com/diabetes/
> >
> >You may find your answer on this site:
> >
> >http://www.phlaunt.com/diabetes/
> >
> >Look at the section from normal to type 2. Also look for the Rancho
> >Bernardo study, in which the 2 hr. post prandial testing (which any of
> >us can do cheaply and easily at home) found DM in 70% of older female
> >DMs that fbg missed. At one hour, I bet fbg would've missed 100%.
>
> Interesting, but doesn't really address my question. I have an hbA1c of
> 4.5%. With that alone, what is the chance a 2hr postprandial glucose
> tolerance test will provide anything useful?
Slim to none.
However, you still could have metabolic syndrome (MetS) plus a
compensatingly healthy pancreas.
May GOD continue to heal our hearts with HIS living water curing our
diabetes, depression, anxiety or panic so that we can love our
neighbors a little more and LORD Jesus Christ a lot more, dear neighbor